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EMS 111 Week 10 part two

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

A 66-year-old male with a history of chronic hypertension complains of a sudden-onset headache, visual disturbances, and weakness on the left side of his body. During your focused exam, you note his speech is confused and slurred. His blood pressure is 218/130 mmHg, pulse is thready at 126 bpm, and respirations are 20 and unlabored. Which of the following conditions is most likely based on your ongoing assessment findings?

a)

Transient Ischemic Attach (TIA)

b)

Acute Coronary Syndrome (ACS)

c)

Complex Migraine

d)

Hemorrhagic stroke

2.

A 38-year-old female with a history of gallstones complains of right upper quadrant pain. During transport, she begins vomiting and appears pale and diaphoretic. What does this change most likely indicate?

a)

Progression of cholecystitis to a more serious condition

b)

Ruptured Ovarian Cyst

c)

Normal passage of gallstones

d)

New onset of appendicitis

3.

You respond to a call for a 52-year-old male found sitting on the floor. His family reports he had sudden confusion, stared into space without responding, and made repetitive lip-smacking movements. The patient is alert to voice but not oriented. Vitals: HR 110, BP 150/92, RR 22, SpO2 96% on room air, glucose 92 mg/dL. Based on your initial impression, you should suspect?

a)

Seizure

b)

Stroke/CVA

c)

Transient Ischemic Attack (TIA)

d)

Sepsis

4.

A 25-year-old unresponsive female with a known history of diabetes is found with dry, warm, flushed skin and rapid respirations. Her blood glucose level is 420 mg/dL. During your secondary assessment, which finding would most strongly support a diagnosis of diabetic ketoacidosis (DKA)?

a)

Crackles (rales) heard in both lungs upon auscultation

b)

Cool, clammy skin

c)

Bradycardia with pinpoint pupils

d)

Abdominal tenderness and generalized muscle pain

5.

Which of the following is a soft tissue injury that may be completely detached or hang as a flap?

a)

An avulsion injury

b)

An amputation injury

c)

A subluxation injury

d)

An evisceration injury

6.

You are called to a residence for a four-month-old infant who began choking while bottle-feeding. Upon arrival, you find the infant gagging, coughing, and bleeding slightly from the mouth. You prepare to suction the airway using a bulb syringe and portable suction unit.

What is the maximum recommended suctioning duration per attempt to minimize complications?

a)

Until the airway is clear

b)

10 seconds

c)

15 seconds

d)

30 seconds

7.

A 35-year-old female presents with sudden onset dyspnea, hypotension, and distended neck veins. Breath sounds are decreased on the right side, and tracheal deviation is noted to the left. Which of the following findings is indicative of obstructive shock?

Select the two answer options that are correct.

a)

Warm, flushed skin with bounding pulses

b)

Tracheal deviation with decreased breath sounds

c)

Distended neck veins with hypotension

d)

Clear lung fields with hyperresonance

e)

Bradycardia with hypertension

8.

Which of the following is a common side effect of nitroglycerin?

a)

Nausea

b)

Drowsiness

c)

Headaches

d)

Hypertension

9.

Which of the following conditions can lead to hyperventilation? Select all that apply

a)

Anxiety

b)

Fever

c)

Opioid overdose

d)

Aspirin overdose

10.

A 17-year-old male was struck on the side of the head. Police found him unconscious and called for EMS assistance. By the time they arrive, the patient has regained consciousness and states that he is fine. During the primary assessment, there is no obvious bleeding or airway compromise, and his breathing is fine. As EMS proceeds, he becomes obtunded and subsequently loses consciousness.

What is the likely cause of this patient's sudden decline?

a)

Subdural hematoma

b)

Subarachnoid hemorrhage

c)

Severe concussion

d)

Epidural hematoma

11.

A 56-year-old male patient with a cardiac history complains of substernal chest pain. Which question is asked to assess the “O” portion of the OPQRST mnemonic?

a)

"What were you doing when the pain began?"

b)

"How long has this been occurring?"

c)

"When did these symptoms start?"

d)

"Have you ever had these symptoms before?"

12.

A patient is exposed to a chemical that overstimulates the parasympathetic nervous system. Which of the following signs is expected?

a)

Bradycardia

b)

Cool, clammy skin

c)

Bronchodilation

d)

Tachycardia

13.

A 32-year-old male was involved in a construction accident. He is unconscious and has snoring respirations. The patient has an obvious wound on his left upper arm that is bleeding profusely with bright red, spurting blood. What is the EMT's most appropriate next step after ensuring scene safety and donning appropriate protective gear?

a)

Apply oxygen by nonrebreather mask

b)

Place an oral airway

c)

Apply a tourniquet to the left arm

d)

Assist ventilations with a bag-mask device

14.

A patient with a head injury opens their eyes spontaneously, speaks in a confused manner, and withdraws from pain. What is their Glasgow Coma Scale (GCS) score? 

a)

15

b)

12

c)

10

d)

7

15.

In which of the following scenarios is oral glucose most appropriate?

a)

A 48 YOF who is behaving erratically after falling and hitting her head

b)

A 72 YOF with a long-standing history of diabetes who is unconscious and has snoring respirations

c)

A 58 YOF who is acting intoxicated and takes injectable insulin

d)

A 38 YOF who reports being intoxicated and complains of dizziness

16.

A trauma patient has sustained several fractures. Which of the following fractures would be considered the most critical injury?

a)

Pelvic fracture

b)

Closed femoral shaft fracture

c)

Open tibia fracture

d)

Angulated humerus fracture

17.

You are treating a 35-year-old male who fell 20 feet from a roof. Initially, he is alert and oriented. As you are loading him into the ambulance, he begins to vomit, his skin becomes pale, and his blood pressure drops to 88/60 mmHg. What do these changes most likely indicate?

a)

Closed head injury

b)

Internal hemorrhage

c)

Diabetic emergency

d)

Pain reaction

18.

You are reassessing a patient with suspected cardiogenic shock. Which findings most clearly indicate that the patient's condition is deteriorating?

Select all answer options that are correct

a)

Mental status becoming less responsive

b)

Skin appearing pale or mottled

c)

Bounding pulses in the extremities

d)

Capillary refill time under two seconds

e)

Pulse pressure narrowing over time

19.

A 47-year-old female complains of abdominal pain. When palpating her left lower quadrant she reports pain in her right lower quadrant, and reports relief of pain when you press on the right lower quadrant. She has a mild fever, reports the pain worsens when she walks or coughs, and denies diarrhea. She had one episode of vomiting and feels nauseated. She reports no recent travel or sick contacts. Vital signs: BP 118/76, HR 96, RR 18, Temp 100.8°F, SpO2 98% on room air.

What do you suspect is most likely

a)

Diverticulitis

b)

Appendicitis

c)

Gasteroenteritis

d)

Ectopic pregnancy

20.

Following a motor vehicle collision, which of the following patients should be transported to the hospital first?

a)

An adult with diminished left lung sounds and JVD

b)

An adolescent patient with suspected spinal cord injury and lower extremity paralysis

c)

A child with significant seatbelt bruising across their chest

d)

An elderly patient with bilateral open lower extremity fractures